Medical Director – Senior Clinical Solution, Population Health
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Job Description
Sr. Clinical Solutions Medical Director at CVS Health analyzing Medicare population health trends. Liaising between data analytics teams and clinical leadership to enhance patient care outcomes with strategic initiatives.
Responsibilities:
- Serve as the liaison between data analytics/reporting teams and the clinical leadership team
- Identify trends in population health while providing a clinical perspective
- Support clinical solutions aimed at improving patient care, safety and health outcomes
- Leverage existing data and reporting sources as well as develop new analytics
- Identify, develop, implement, and evaluate the effectiveness of strategic initiatives
- Analyze policy/procedure/workflows on case management and utilization management for care redesign
- Analyze Total Cost of Care, Stars, Risk Adjustment, etc. data for opportunities and propose Strategic Action Items
- Work collaboratively with Medical Economics Unit, Analytics and Behavioral Change, Aetna Clinical Services and Medical Affairs' other departments
- Develop and improve Medicare reporting, such as in Tableau
- Lead and implement informatics communication efforts
- Maintain strong collaborative relationship with care management teams
- Active participation in meetings and communications
Requirements:
- Board certification in Medical Informatics preferred
- Masters in related field preferred
- 5 years work experience in managed care required (preferably in Medicare)
- Experience in care model design and implementation, population health development and/or clinical product development preferred
- Medical informatics and/or data science experience preferred
- Care Redesign experience required
- Must meet COVID-19 requirements
- Active and current state medical license without encumbrances
- M.D. or D.O., Board Certification in a recognized specialty including post-graduate direct patient care experience
Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access
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